Complete Medicare Certification Test Prep for Healthcare
Professionals | Verified AHIP Final Exam Questions with
Detailed Rationales | Updated 2026 Medicare Policies,
Compliance Standards & Exam Strategies | Step-by-Step
Study Guide for Nurses, Medical Assistants, Healthcare
Staff | Maximize Score, Confidence & Pass Guarantee |
Comprehensive AHIP Certification Practice Resource
, Question 1:
What is the primary purpose of the Affordable Care Act (ACA)?
• A) To reduce the number of uninsured individuals
• B) To increase insurance premiums
• C) To limit health coverage benefits
• D) To provide tax cuts for wealthy individuals
Correct Option: A) To reduce the number of uninsured individuals
Rationale:
The Affordable Care Act was designed primarily to increase the number of insured
Americans by providing subsidies for low-income individuals, expanding Medicaid, and
creating health insurance marketplaces. This was intended to make healthcare more
accessible and affordable for all, particularly those who were previously uninsured.
Question 2:
Which of the following is a requirement for a Medicare Advantage plan?
• A) It must cover all services that Original Medicare covers.
• B) It cannot charge any premiums.
• C) It must provide prescription drug coverage.
• D) It is only available to individuals over 80 years old.
Correct Option: A) It must cover all services that Original Medicare covers.
Rationale:
Medicare Advantage plans, also known as Part C, are required to provide at least the
same coverage as Original Medicare (Parts A and B) while also offering additional
benefits in many cases. They are not required to offer drug coverage but many do; they
also do charge premiums as well as copayments.
Question 3:
What is the role of the Centers for Medicare & Medicaid Services (CMS)?
• A) To provide direct healthcare services to patients
• B) To administer the nation's major healthcare programs
• C) To create health insurance policies
• D) To provide health insurance funding to private insurers